MEDICARE: BAYEAH PLACE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	385H00000X	Respite Care
3	376J00000X	Homemaker

General Provider Information

NPI Number	:	1780534750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYEAH PLACE LLC

Provider Business Mailing Address
First Line	:	2828 VERA PL NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708-4456
Country	:	US
Telephone Number	:	330-396-3987
Fax Number	:

Provider Business Practice Location Address
First Line	:	2828 VERA PL NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708-4456
Country	:	US
Telephone Number	:	330-396-3987
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS VERA BAYEAH WILLIE
Credential	:
Telephone Number	:	330-396-3987

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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Directions to “BAYEAH PLACE LLC ” Practice Location

Language	Start Address	Practice Location

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